Miracle Kids LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002706 Issued in GA

Legal business name

MIRACLE KIDS LLC

Practice address

1442 Dresden Dr NE Unit C258
Brookhaven, GA 30319-3590

Phone

(678) 779-3599

Fax

(678) 922-1235

NPI assigned

May 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rabinder Kaur Roy, OTRL

Title

Owner

Phone

(678) 799-3599

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LLC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1568678217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 DRESDEN DR NE UNIT C258",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193590",
            "telephone_number": "678-779-3599",
            "fax_number": "678-922-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 DRESDEN DR NE UNIT C258",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193590",
            "telephone_number": "678-779-3599",
            "fax_number": "678-922-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "RABINDER",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-799-3599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000874849B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chasity Miller, RBT
• Clay Miller
• Reyana Miller, RBT
• Roselynn E Miller, PSY.D.
• Shameyrae Devonya Miller
• Joanna M Miranda, OD
• Brittany Nicole Mitchell, RBT
• Hassan Marwan Mohammed Salih, DDS
• April Mojica, LPC
• Brenda Montero, RBT

• Occupational Therapist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.